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Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
A56841
First Coast Service Options, Inc. (J09)
Effective: October 1, 2023
Updated: December 31, 2025
See LCD L33771Policy Summary
Coverage for 25-hydroxy vitamin D testing (including fractions) follows the reasonable and necessary criteria set forth in LCD L33771; perform testing only when supported by the LCD. Claims must not be submitted for services not covered by the LCD (use the appropriate modifier for non-covered services), and the medical record must fully document patient identification, provider signature, support for ICD-10 and CPT/HCPCS coding, test results, and the resulting treatment plan.
Coverage Criteria Preview
Key requirements from the full policy
"25-hydroxy vitamin D testing (including fractions, if performed) is covered when deemed reasonable and necessary per Local Coverage Determination L33771."
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